Describir el procedimiento Essure de contracepción por vía histeroscópica y compararlo con los ya existentes en el armamentario actual de contracepción definitiva. Sujetos y
método:
Se han analizado tanto los estudios multicéntricos previos a su aprobación como la experiencia referida en trabajos posteriores de grupos expertos en histeroscopia.
Resultados:
Los resultados de dos estudios multicéntricos internacionales, prospectivos y aleatorizados publicados en 2003 demuestran que el método Essure presenta una elevada eficacia en la prevención del embarazo, superior al 99% con tasas de complicacionesmenores inferiores al 3%.
To describe hysteroscopic permanent contraception through the Essure procedure and to compare this procedure with other already available methods. Subjects and
methods:
We analyzed multicenter studies published before approval of the Essure method as well as the experience reported in subsequent studies by groups with expertise in hysteroscopy.
Results:
Data from two multicenter, international, prospective, randomized studies published in 2003 demonstrate that the Essure procedure provides high contraceptive efficacy (greater than 99%), with a minor complications rate of less than 3%.
Conclusions:
Permanent contraception with the Essure procedure, when performed after an adequate learning curve and by practitioners with extensive experience in diagnostic hysteroscopy, can be carried out as an outpatient technique with a 95% success rate